| NPI | 1144260514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLA CRAIG Business Manager 406-721-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 6638) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-05-27 |